Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03044 | Date 03/11/2022 |
| Token No | SM/22-23/4014 03/11/2022 | Serial | 028 |
| Patient Name | Mr. AMAN KUMAR | Contact No | 7439874853 |
| Address | 65/25/36 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||